Table 1.

Topics Covered by the Addiction Medicine Consultant to Assist Primary Care Practices

Develop and refine clinical policies on MOUD
How to responding to positive urine drug screenings
Determine when it is appropriate to refer patients to other treatment facilities
Incorporate telehealth into induction workflows, especially in rural areas
Treat and support MOUD patients who use substances or relapse multiple times
Educate primary care practice staff on harm reduction strategies, buprenorphine, and urine drug screening
How to approach the topic of MOUD with patients on chronic opioid treatment
How to respond to widespread presence of fentanyl or methamphetamine
Plan for induction in cases where fentanyl is present
Support the roles of nurses, care coordinators, and behavioral health clinicians in MOUD treatment (ie, when to initiate contact with patients, how often to reach out, and how best to support MOUD patients)
Understand license regulations related to buprenorphine prescribing
  • MOUD = medications for opioid use disorder.